Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-04-30-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214478 DEA: 034H6604 EFIS: 0319000019 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-32.7/33.0 |
| Award Date | 12/13/2019 |
| Closeout Date | 12/04/2020 |
| Work Description | WIDEN PAVEMENT WITH AB AND HMA, AND MODIFY ELECTRICAL. |
| Location Description | PLACER COUNTY IN COLFAX FROM THE SOUTH AUBURN ROAD WESTBOUND ONRAMP TO 0.3 MILE SOUTH OF THE SOUTH AUBURN ROAD WESTBOUND ONRAMP |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 04/30/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/05/2020 |
| Sample type | Acceptance | A brief description of the sample | Emulsion |
| The quantity of what the sample constitutes | 2 bottles | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | D | Last name of sampler or witnessed by | Drane |
| Title of sampler | Telephone number of sampler | 530-330-2727 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | 764800 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | 0 | Sub Lot | 0 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-30-17-1 AASHTO T59-16 (Verified)